Individual
MRS. SUZANNE DENISE SUDDATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4350 WILL ROGERS PKWY, SUITE 600, OKLAHOMA CITY, OK 73108-1826
(800) 687-5345
(405) 948-2807
Mailing address
4208 S REDWOOD AVE, BROKEN ARROW, OK 74011-1474
(918) 695-5298
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA367
OK
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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